Fayetteville vs St. Louis for Retirees (2026)
Scroll down for retirement income tax breakdown, healthcare estimates, and FAQ.
Full retirement cost breakdown
| Metric | Fayetteville North Carolina | St. Louis Missouri |
|---|---|---|
| 1BR rent / month | $1,200Better | $1,300 |
| Median home price | $230KBetter | $230K |
| State income tax | 4.5%Better | 4.7% |
| Sales tax (combined) | 7%Better | 8.6% |
| Monthly utilities | $148Better | $162 |
| Groceries index (US = 100) | 93Better | 97 |
| Est. healthcare / month | $420Better | $435 |
| Walk score (0–100) | 22 / 100 | 61 / 100Better |
| Overall COL index (100 = US avg) | 84Better | 87 |
Frequently asked questions
Which city is better for retirement — Fayetteville or St. Louis?
Based on home prices, taxes on retirement income, walkability, and overall cost of living, Fayetteville scores better for retirees. Median home prices are $230K in Fayetteville vs $230K in St. Louis. Fayetteville is approximately 3% cheaper overall. The best choice still depends on climate, healthcare access, and proximity to family.
Is retirement income taxed in Fayetteville or St. Louis?
Fayetteville has the lower state income tax rate (4.5% vs 4.7%). Note that many states exempt Social Security income and some pension income from state taxes even when other income is taxed — check your specific state's retirement tax rules.
What is the estimated monthly healthcare cost in Fayetteville vs St. Louis?
Based on national average retiree healthcare spending (~$500/month) scaled by each city's cost-of-living index, estimated monthly healthcare costs are approximately $420 in Fayetteville and $435 in St. Louis. That's a difference of ~$15/month, or ~$180/year. Actual costs vary based on your Medicare plan, supplements, and health needs.
Can I afford to retire in Fayetteville on a $50,000 annual income?
On a $50,000/year ($4,167/month) retirement income in Fayetteville, rent alone would consume approximately 29% of your budget (1BR rent ~$1,200/mo) and healthcare another ~10%. That leaves roughly 61% (~$2,542/mo) for groceries, transportation, and other expenses. This is generally considered manageable.
Which city is more walkable for retirees?
St. Louis has a higher walk score (61 vs 22 out of 100). Walkability is increasingly important for retirees who want to reduce car dependence — a score above 70 means most daily errands can be done on foot. St. Louis offers more independence without a car, which also reduces transportation costs.
$50K/year in Fayetteville has the same purchasing power as $52K/year in St. Louis
Healthcare estimates based on national avg retiree spending (~$500/mo) scaled by COL index · State income tax rates from Tax Foundation · Data: Zillow, BLS, Numbeo · Q1 2026